engleski

A new mobile cross-platform application for caries risk assessment

Aim: Caries Risk Assessment (CRA) supports clinical decision making by assigning risk scores to patients based on weighted patient- and toothlevel factors. For on such CRA, a mobile application MyCAMBRA (Caries management by Risk Assessment, UCSF and Firsthand Technology), was previously constructed on iOS. We here aim to describe the development and implementation of a new CRA mobile application tailored for use by general practitioners (GPs). Materials and Methods: Factors were established based on systematically compiled evidence and two consensus meetings. Risk scores were assigned to specific groups (age 0-6, 6-14 and 14-adults, specific needs e.g. pregnant, or special needs patients) using 28 factors divided between: patient factors, clinical findings and protective factors. The development of the application was carried out using Ionic (v3), an open-source framework for building cross-platform applications for iOS and Android based on Apache Cordova. CRA factors knowledge was stored in a SQLite relational database. The application was evaluated by a group of αtesting GPs. Results: The new CRA application helps to list factors that GPs can address and has been found easily applicable by GPs. Some factors predetermine the high-risk outcome when a critical level of occurrence is exceeded. Once a CRA is completed, positive and negative factors were highlighted on a PDF report in order to support patient education. Photographs and videos are provided to facilitate treatment implementations. It provides also definitions for each factor, which was found useful. Conclusion: Despite this new CRA application has not been validated yet, it was found useful for risk communication, behavior guidance and individualizing preventive care. Further studies in different populations are required to validate the dispatch factors in the proposed specific age groups, optimize the algorithm and confirm the GPs acceptance.

mobile cross-platform ; caries risk assessment

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